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General NPI Number Information
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NPI Number | 1205510732
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Entity Type | Organization
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Legal Business Name | RYLIST, INC.
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Dates
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Enumeration Date | 06/14/2023
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 1634 KENT PL
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City | THOUSAND OAKS
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State | CA
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Zip | 91362-2432
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Country | US
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Telephone | 800-561-8518
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Fax | 805-777-9226
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Provider Business Mailing Address
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Address Line | 155 E WILBUR RD
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-7935
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Country | US
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Telephone | 805-852-1267
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | JULIE LOVIER
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Credential |
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Telephone | 805-657-7222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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